• Title/Summary/Keyword: Functional electrical stimulation (FES)

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Effects of Functional Electrical Stimulation on Gait Patterns in Stroke Patient (기능적 전기자극이 뇌졸중 환자의 보행에 미치는 영향)

  • Kim, Yong-Wook;Weon, Jong-Hyuck;Chung, Bo-In
    • Physical Therapy Korea
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    • v.7 no.3
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    • pp.72-80
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    • 2000
  • This study was to investigate the effects of a functional electrical stimulation (FES) on temporal parameters (stride length, step width and cadence) of gait patterns in a patient with right hemiparesis. A single-subject reversal (ABAB) design was used. The subject was a 25-year-old male who had foot drop and circumduction gait pattern. An ink foot-print method was used to assess the temporal parameters of gait between the baseline phase and the intervention phase. FES was applied at 8 m walkway, three times a week for 5 weeks. The results showed that stride length was increased by 4.04 cm and that step width was decreased by 3.93 cm in the intervention phase. There was no difference in cadence between the baseline phase and intervention phase.

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Nonlinear FES Control of Knee Joint by Inversely Compensated Feedback System

  • Eom Gwang-Moon;Lee Jae-Kwan;Kim Kyeong-Seop;Watanabe Takashi;Futami Ryoko
    • International Journal of Control, Automation, and Systems
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    • v.4 no.3
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    • pp.302-307
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    • 2006
  • The aim of applying Functional Electrical Stimulation (FES) is to restore a person's motor function by directly supplying the controlled electrical currents to the site of the paralyzed muscles. However, most clinically utilized FES systems have adapted an open-loop control scheme. Recently the closed-loop control scheme has been considered for setting up the FES system, but due to the inherent nonlinearities in the musculoskeletal system, the nonlinearities were not fully compensated and it caused the oscillatory responses for tracking the output variables. In this study, a nonlinear controller model that has two inverse compensation units is proposed with the compromising feedback linearization method and this will eventually be used to design the FES control system for stimulating a knee joint musculoskeletal system.

Study on Effects of Auditory Feedback and Application of Functional Electrical Stimulation During Gait on Balance, Gait and Lower Extremity Function in Patients with Subacute Stroke (아급성기 뇌졸중 환자의 보행동안 청각적 피드백과 기능적 전기 자극 적용이 균형, 보행 및 하지 기능에 미치는 영향)

  • Min-Ju Nam;Yong-Bum Jung ;Chang-Geol Kim ;Myoung-Kwon Kim
    • Journal of the Korean Society of Physical Medicine
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    • v.18 no.3
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    • pp.55-64
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    • 2023
  • PURPOSE: Examine the effects of auditory feedback and functional electrical stimulation on balance, walking ability, and lower extremity function of subacute stroke patients. METHODS: Twenty-seven subjects diagnosed with subacute stroke within six months were randomly divided into three groups: test group 1, which performed walking exercises with auditory feedback and functional electrical stimulation; test group 2, which performed walking exercises only with functional electrical stimulation; control group applied only functional electrical stimulation, with nine subjects each. RESULTS: There were significant pre- to post-intervention differences in BBS in the gait training group with auditory feedback and functional electrical stimulation treatment, and significant pre- to post-intervention differences in BBS, sit-to-stand time, and average step speed in the gait training group with functional electrical stimulation, but no statistically significant differences in between-group comparisons. CONCLUSION: Gait training with auditory feedback and functional electrical stimulation can improve the balance and gait performance in stroke patients. Therefore, in the future, gait training with auditory feedback and functional electrical stimulation therapy may be suggested as a gait rehabilitation training tool for stroke patients.

Muscle Model including Muscle Fatigue Dynamics of Stimulated Skeletal Muscle (전기자극에 의한 골격근의 근육피로를 고려한 근육모델)

  • Lim, Jong-Kwang;Nam, Moon-Hyon
    • The Transactions of the Korean Institute of Electrical Engineers A
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    • v.48 no.11
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    • pp.1476-1478
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    • 1999
  • A musculotendon model is proposed to predict muscle force during muscle fatigue due to the continuous functional electrical stimulation(FES). Muscle fatigue dynamics can be modeled as the electrical admittance of muscle fibers and included in activation dynamics based on the{{{{ { Ca}^{2+ } }}}} kinetics. The admittance depends on the fatigue variable that monotonically increase or decrease if electrical pulse exists or not, and on the stimulation parameters and the number of applied pulses. In the response of the change in activation the normalized Hill-type contraction dynamics connected with activation dynamics decline the muscle shortening velocity and thus its force under muscle fatigue. The computer simulation shows that the proposed model can express the muscle fatigue and its recovery without changing any stimulation parameters.

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Portable Gait-Event Detection System for FES Locomotion (FES 보행을 위한 휴대용 보행 이벤트 검출 시스템)

  • Kong, Se-Jin;Kim, Chul-Seung;Park, Kwan-Yong;Eom, Gwang-Moon
    • The Transactions of the Korean Institute of Electrical Engineers D
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    • v.55 no.5
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    • pp.248-253
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    • 2006
  • The purpose of this study is to develop a portable gait-event detection system which is necessary for the cycle-to-cycle FES(functional electrical stimulation) control of locomotion. To make the system portable, we made following modifications in the gait signal measurement system. That is, 1) to make the system wireless using Bluetooth communication, 2) to make the system small-sized and battery-powered by using low power consumption ${\mu}$ P(ATmega8535L). The gait-events were analyzed in off-line at the main computer using ANN(Artificial Neural Network). The Proposed system showed no mis-detection of the gait-events of normal subject and hemiplegia subjects. The performance of the system was better than the previous wired-system.

Electromyo-potential Response to Electric Stimulus Excitation at a Human Antebrachial Joint (인체 주관절에서 전기자극 가진에 의한 근전위 응답)

  • Hong, Jong Han;Kim, Jin Oh;Lee, Dong Chan;Park, Kwang Hun
    • Transactions of the Korean Society for Noise and Vibration Engineering
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    • v.23 no.1
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    • pp.9-16
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    • 2013
  • This paper experimentally deals with the excitation by functional electrical stimulus(FES) and the response of electromyo-potential at the muscles of antebrachial joint in a human body. The excitation of FES, which results in the contraction of the muscles and thus the flection of the joint, shows that the flection angle of the joint is proportional to the magnitude of the stimulus current. The response of electromyo-potential measured according to the FES shows the linearly-proportional relation between the joint torque and the electromyo-potential. The results can be used for active motion of joint rehabilitation.

A Convergence Study on the Effects of functional electrical stimulation with mirror therapy on balance and gait ability in chronic stroke patients. (기능적 전기자극을 병행한 거울치료가 만성 뇌졸중 환자의 균형 및 보행능력에 미치는 영향에 관한 융합적 연구)

  • Kim, Dong Hoon;Kim, Kyung Hun
    • Journal of the Korea Convergence Society
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    • v.9 no.10
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    • pp.109-120
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    • 2018
  • The purpose of this study was to investigate the effects of functional electrical stimulation (FES) with mirror therapy on balance and gait ability in chronic stroke patients. Thirty-five subjects who met the inclusion criteria were randomly allocated into three groups: the functional electrical stimulation with mirror therapy group(FMT group, n=11), mirror therapy group(MT group, n=12), and control group (n=12). The exercises were conducted for 30 min per day, five, per week for four weeks. Balance and gait ability were examined at baseline and after 4 weeks of intervention. After training, the FMT group showed significant improvement in berg balance scale (BBS), center of pressure (COP) length, affected step length (ASL), Cadence and average gait speed (AGS) compared MT group and control group(p<0.05). This findings show that FES and MT convergence can be an effective intervention for stroke patients balance and gait ability. Continued development of convergence interventions for stroke patients with balance and gait ability in practice, are suggested.

The Effect on Change of Spinal Neuron Excitability during Gait Training of Hemiplegia Patients by the Functional Electrical Stimulation (편마비 환자의 보행훈련 시 기능적 전기자극 병용이 척수신경원의 흥분성 변화에 미치는 효과)

  • Kang, Yang-Hoon;Yoon, Se-Won;Seo, Sam-Ki;Park, Keyong-Soon;Kim, Yong-Eok;Kim, Tae-Youl
    • The Journal of Korean Physical Therapy
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    • v.19 no.1
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    • pp.11-22
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    • 2007
  • Purpose: The purpose of this study were to analysis the effect on change of spinal neuron excitability during gait training of hemiplegia patients by the functional electrical stimulation. Methods: Thirty six hemiplegia patients participated in this study. Stimulation conditions of FES were pulse rate 35pps, pulse width $250{\mu}s$, and on-time 0.3 second, treatment hour was 30 min. and treatment period was once a day for five days a week through six weeks. For functional evaluations before and after treatment, Modified Ashworth Scale (MAS), active range of motion (AROM), Hmax threshold, H/Mmax ratio were measured and the following conclusions were obtained. Results: Functional evaluation showed significant changes in experimental group as MAS(p<0.01), AROM(p<0.001), compared to control group. In spinal neuron excitability evaluation, change of Hmax threshold was significantly reduced in both non weight bearing (p<0.001) and bearing condition (p<0.05), H/Mmax ratio was significantly reduced in non weight bearing (p<0.05) and bearing condition (p<0.05). Conclusion: In conclusion, application of FES to hemiplegia patients in recovery stage during gait training improved mitigation of muscular spasticity, balance adjustment and moving ability and it was interpreted that it was caused by mitigation of muscular spasticity by the spinal neuron excitability.

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